Provider Demographics
NPI:1306389358
Name:YOUNG, DONALD JOSHUA (PHARMD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:JOSHUA
Last Name:YOUNG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 CABARRUS AVE W
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-6851
Mailing Address - Country:US
Mailing Address - Phone:704-788-6337
Mailing Address - Fax:
Practice Address - Street 1:760 CABARRUS AVE W
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-6851
Practice Address - Country:US
Practice Address - Phone:704-788-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist